Back to Search.png)
Exciting news! We have a dietitian, social worker, counsellor, social prescriber to support people in Brantford-Brant. The services are available to those without a primary care provider, with a primary care provider that does not already offer the services or people who are unhoused, use substances or have trouble keeping appointments. You can complete a self-referral form or your provider can refer to the services using the forms below.
Are you referring yourself? Complete the online form below or print off the PDF and drop it off at our reception.
Self-referral Form PDFAre you a provider referring a patient? Complete the form below and fax it to 519-754-0757 Attn: IPCT Program.
Referral Form for Providers PDF
Are you without a primary care provider?
For those who do not have a provider, we are accepting new patients! Come by our outreach clinic to register or fill in the form below and drop it off with our reception team.
New Primary Care Client Intake Form PDF
Subscribe